qa-pam.availity.com Open in urlscan Pro
199.116.185.32  Public Scan

Form analysis
1 forms found in the DOM

Name: frmLogin —

<form name="frmLogin" data-av-val-form="loginRules" class="ng-pristine ng-invalid ng-invalid-av-required ng-invalid-av" novalidate="novalidate">
  <div class="card">
    <div class="card-header">
      <h1><img alt="Logo" class="logo" data-ng-src="images/logo-availity-rcm-qua.png" src="images/logo-availity-rcm-qua.png"></h1>
    </div>
    <div class="card-block">
      <h4 class="card-title"> USER LOGIN </h4>
      <div class="form-group"> <label for="txtUsername"> Username </label> <input id="txtUsername" type="text" class="form-control ng-pristine ng-untouched ng-isolate-scope ng-invalid ng-invalid-av-required ng-invalid-av ng-empty"
          data-ng-model="vm.username" data-av-autofocus="" data-av-val-field="username" data-ng-disabled="vm.alreadyLoggedIn"> </div>
      <div class="form-group"> <label for="txtPassword"> Password </label> <input id="txtPassword" type="password" class="form-control ng-pristine ng-untouched ng-isolate-scope ng-invalid ng-invalid-av-required ng-invalid-av ng-empty"
          data-ng-model="vm.password" data-av-val-field="password"> </div>
      <div class="row">
        <div class="col-md-6">
          <!-- ngIf: vm.configOptions.states.forgotUserName --><a data-ng-if="vm.configOptions.states.forgotUserName" id="lnkForgotUsername" data-ui-sref="forgot-username" data-ng-click="vm.clearNotifications()" tabindex="-1" data-av-analytics-on="" class="ng-scope" href="#/forgot-username"> Forgot Username? </a><!-- end ngIf: vm.configOptions.states.forgotUserName -->
          <!-- ngIf: vm.configOptions.states.forgotPassword --><a data-ng-if="vm.configOptions.states.forgotPassword" id="lnkForgotPassword" data-ui-sref="forgot-password" data-ng-click="vm.clearNotifications()" tabindex="-1" data-av-analytics-on="" class="ng-scope" href="#/forgot-password"> Forgot Password? </a><!-- end ngIf: vm.configOptions.states.forgotPassword -->
        </div>
        <div class="col-md-6"> <button id="btnLogin" type="submit" class="btn btn-block btn-primary ng-isolate-scope" data-ng-click="vm.login()" data-ng-disabled="frmLogin.$invalid" data-av-async-button="" data-loading="vm.isSubmitting"
            data-av-analytics-on="" disabled="disabled"><span>
              <div class="btn-loading-indicator loading-indicator ng-isolate-scope" data-av-loading-indicator="" data-loading="isLoading"> <span class="loading-bullet">•</span><span class="loading-bullet">•</span><span class="loading-bullet">•</span>
              </div> <span data-ng-transclude=""> Login </span>
            </span></button> </div>
      </div>
    </div>
  </div>
</form>

Text Content

USER LOGIN

Username
Password
Forgot Username? Forgot Password?
•••
Login
•••
Loading